Brittani Nicole Elling

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160.007753 Issued in IL

Practice address

520 N Price St
Mason City, IL 62664-9600

Phone

(217) 482-5022

NPI assigned

Feb 4, 2020

Last updated

Feb 4, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1356973754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 E MAIN ST # 94",
            "city": "EASTON",
            "state": "IL",
            "postal_code": "626339326",
            "telephone_number": "217-737-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N PRICE ST",
            "city": "MASON CITY",
            "state": "IL",
            "postal_code": "626649600",
            "telephone_number": "217-482-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLING",
        "first_name": "BRITTANI",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.007753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Estoye
• Ellen Michelle Hendricks, APN
• Illini Central 189
• Julianne a Manuel (Mason City Pharmacy)
• Gregory Michael Kane, DDS

• Physical Therapy Assistant in Mason City, IL
• Providers in Mason City, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.